Active NPI
Matthew Lewis Draper, FNP-C, RN, AT, ATC
- Family Nurse Practitioner
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704318832
- Practice address
- 956 Cooper St
Jackson, MI 49202-3398 - Phone
- (517) 998-6574
- NPI assigned
- Nov 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 4704318832 | MI | |
| Athletic Trainer | 2255A2300X | 2601000140 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704318832 | MI | Primary |
Addresses
Primary practice location
956 Cooper St
Jackson, MI 49202-3398
Mailing address
11228 Sand Hill Dr
Grass Lake, MI 49240-9688
Phone (517) 398-4042
Other practice location 1
206 Page Ave
Jackson, MI 49201-2418
Phone (517) 990-6208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eaton Rapids Medical Center
Practice addresses (Care Compare)
61 W Carleton Rd
Hillsdale, MI 49242-1201
Phone (517) 439-5411
956 Cooper St
Jackson, MI 49202-3398
Phone (517) 998-6574
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601000140 | MI | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillsdale Community Health Center | Current | Accepting new patients | |
| Eaton Rapids Medical Center | Current | Accepting new patients | |
| Hillsdale Community Health Center | Current | Accepting new patients | |
| Eaton Rapids Medical Center | Current | Accepting new patients | |
| Eaton Rapids Medical Center | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Family | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Orthopaedic Rehab Specialists, PC | Past | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Past | Accepting new patients |
Locations
1 Ford Pl
Detroit, MI 48202
Phone (313) 874-4118
1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
61 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-5020
1201 E Michigan Ave
Ste 301
Jackson, MI 49201
1201 E Michigan Ave
Jackson, MI 49201
Phone (517) 205-1431
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
956 Cooper St
Jackson, MI 49202
Phone (517) 787-3900
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
1201 E Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1431
7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580
Interoperability endpoints
- mdraper654667@direct.parkviewexchange.com
- mdraper453734@direct.hfhs.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Hillsdale, MI
- NPI 1730115940
-
- Critical Access Hospital
- Eaton Rapids, MI
- NPI 1417044660
-
- Rural Health Clinic/Center
- Eaton Rapids, MI
- NPI 1588810709
-
- Nurse Practitioner
- Jackson, MI
- NPI 1629000708
-
- Physician Assistant
- Jackson, MI
- NPI 1316719859
-
- Rural Health Clinic/Center
- Hillsdale, MI
- NPI 1952951014
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Physical Therapist
- Jackson, MI
- NPI 1619956646
-
- Emergency Medicine Physician
- Jackson, MI
- NPI 1265487722
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hillsdale, MI
- NPI 1730115940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1184991234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11228 SAND HILL DR",
"city": "GRASS LAKE",
"state": "MI",
"postal_code": "492409688",
"telephone_number": "517-398-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 COOPER ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023398",
"telephone_number": "517-998-6574"
}
],
"practiceLocations": [
{
"address_1": "206 Page Ave",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492012418",
"country_code": "US",
"telephone_number": "517-990-6208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAPER",
"first_name": "MATTHEW",
"middle_name": "LEWIS",
"credential": "FNP-C, RN, AT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-17",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "MI",
"license": "4704318832",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601000140",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704318832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.